Cervical backbone surgical procedure for tandem spinal stenosis: The influence on low again ache.
Clin Neurol Neurosurg. 2018 Feb 02;166:50-53
Authors: Alvin MD, Alentado VJ, Lubelski D, Benzel EC, Mroz TE
STUDY DESIGN: Retrospective Cohort.
OBJECTIVE: Tandem spinal stenosis (TSS) can current equally to cervical myelopathy, however typically has a worse prognosis. Few research have investigated outcomes and in contrast therapy approaches for sufferers with TSS. We sought to find out the influence of cervical backbone surgical procedure on cervical and lumbar backbone signs in sufferers with symptomatic tandem spinal stenosis.
PATIENTS METHODS: 84 sufferers with TSS had been recognized over 5 years. 48 underwent cervical backbone surgical procedure alone, 20 underwent each cervical and lumbar backbone surgical procedure, and 16 obtained conservative therapy alone (conservative cohort). High quality of life (QOL) measures included the Visible Analogue Scale (VAS) for arm, neck, and again ache, and EuroQOL-5 Dimensions (EQ-5D). QOL information had been acquired at baseline (pre-operative) and 1 12 months postoperatively by way of an institutional prospectively collected database.
RESULTS: Each surgical cohorts confirmed important (p?<?zero.01) pre- to postoperative enchancment for VAS neck and arm scores at 1-year post-op and considerably (p?<?zero.01) higher enhancements than the conservative cohort. As well as, the cohort present process cervical backbone surgical procedure alone skilled important enchancment within the EQ-5D rating whereas these present process each cervical and lumbar backbone surgical procedure didn’t.
CONCLUSIONS: Cervical backbone surgical procedure with or with out follow-up lumbar backbone surgical procedure considerably improves neck ache in sufferers with TSS. In distinction, cervical backbone surgical procedure in these sufferers doesn’t enhance lumbar signs. Lumbar surgical procedure additionally didn’t enhance low again ache or high quality of life. Future potential research are obligatory to look at the influence of lumbar decompression alone on cervical backbone signs in sufferers with TSS.
PMID: 29408772 [PubMed – as supplied by publisher]